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CC BY 4.0 · Surg J (N Y) 2021; 07(04): e337-e341
DOI: 10.1055/s-0041-1739116
Case Report

Laparoscopic Transgastric Resection of a Large Gastric GIST: A Case Report and Review of Literature

Eham Arora 
1   Department of General Surgery, Grant Medical College & Sir JJ Group of Hospitals, Mumbai, Maharashtra, India
,
Jaini Gala 
1   Department of General Surgery, Grant Medical College & Sir JJ Group of Hospitals, Mumbai, Maharashtra, India
,
Aditya Nanavati
2   Department of Hepatobiliary and Transplant Surgery, Jupiter Hospital, Thane, Maharashtra, India
,
Arun Patil
1   Department of General Surgery, Grant Medical College & Sir JJ Group of Hospitals, Mumbai, Maharashtra, India
,
Ajay Bhandarwar
1   Department of General Surgery, Grant Medical College & Sir JJ Group of Hospitals, Mumbai, Maharashtra, India
› Author Affiliations Funding No funding for received for the preparation of this manuscript.
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Abstract

Introduction Gastrointestinal stromal tumors (GIST) are the most common mesenchymal tumors of the gastrointestinal (GI) tract. Their primary treatment is surgical.

Case Report Here we report a case of a 36-year-old male patient who was being evaluated for weakness, anemia, and melena. Upper GI endoscopy showed a mass projecting into the lumen and an abdominal computed tomography (CT) confirmed a well-defined mass close to the lesser curvature on the posterior wall. An endoscopic ultrasound-guided fine needle aspiration suggested a diagnosis of GIST. After optimization, the patient was taken up for a laparoscopic transgastric resection of the GIST. The resected specimen measured 9.5 × 8.5 × 7.5 cm. Postoperatively, the patient recovered well and was discharged by the fifth postoperative day.

Discussion While traditionally, open surgery has been advocated for GISTs, for fear of spillage and peritoneal seeding, the role of minimal access surgery has been growing in recent years. The use of a transgastric approach avoids the potential complication of luminal stenosis following a wedge resection of a tumor close to the cardia. Because lymphadenectomies are rarely required and local invasion is uncommon, a wide local resection is usually curative. Thus, a laparoscopic approach can be considered as the first line in uncomplicated GISTs, irrespective of tumor size.

Keywords

gist - gastric tumor - laparoscopic resection - trans-gastric surgery

Declarations


Author Contributions

All authors certify that they accept responsibility as an author and have contributed to the concept, literature review, manuscript drafting, and given their final approval.


Data Availability Statement

All data generated or analyzed during this study is included in this article (and/or) its supplementary material files. Further enquiries can be directed to the corresponding author.


Ethics Committee Approval and Informed Consent

Ethics committee approval was waived by our institutional ethics board in view of the retrospective nature of the report and the procedure being performed as part of routine surgical care. Written informed consent was obtained from the patient for publication of the case report and any images/ videos.




Publication History

Received: 17 June 2021

Accepted: 20 September 2021

Article published online:
15 December 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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